Application for Appointment to a City of Kingston Committee, Board or Commission

Transcription

1 Application for Appointment to a City of Kingston Committee, Board or Commission Eligibility: Citizen appointees to committees of Council excluding technical representatives must be at least 18 years or older, a resident/business owner in the City of Kingston, and be one of the following: Canadian Citizen, or Permanent Resident, a person who has been given permanent resident status by immigrating to Canada but is not a Canadian Citizen, and has resided in Kingston for at least one year. Appointees must maintain residence in the City of Kingston for the duration of their term. Kingston Economic Development Corporation Board (KEDCO) te: Qualifications as outlined in the KEDCO governance by-law indicate that board members must be: t be an undischarged bankrupt Must be a Canadian Citizen Municipal Accessibility Advisory Committee: Requirements of the Accessibility for Ontarians with Disabilities Act include that a majority of members shall be individuals with disabilities Kingston Frontenac Public Library Board: Must be a resident of the City of Kingston. May not be employed by the Library Board, or by the municipality or township Must be a Canadian Citizen te: Applicants may be requested to attend an interview with the minations Advisory Committee if additional information is required. The minations Advisory Committee will consider all applications received and submit recommendations to City Council for final approval. All appointments to Committees are made at the pleasure of Council. For more information please contact Diane Jackson, Clerks Department at Ext 1375 or djackson@cityofkingston.ca Committee Appointment Application City of Kingston Page 1

2 Application: Do you meet the qualifications above for your chosen Committee/Board? te: Please only list committees that you are interested in serving on. I am applying to serve on the following Committee/Board: My second choice for a Committee/Board would be: My third choice for a Committee/Board would be: Contact Information: Name: Mailing Address (Must be a Kingston Address): Telephone Numbers: Home: Work: Cell: Address: Application Details: Are you currently serving as a City of Kingston appointee to a City agency, board or committee? If yes, which one? Committee Appointment Application City of Kingston Page 2

3 Have you served on a City of Kingston Committee or Board for more than six years continuously? Are you an employee of the City of Kingston or its agencies, boards or commissions? Please tell the Committee and City Council about yourself and why you are interested in serving on this committee. Include relative information such as expertise, education and/or real-life experiences as it relates to the committee or board that you have chosen. Committee Appointment Application City of Kingston Page 3

4 Please list skills sets that you would bring to this committee that would be an asset: Belle Park Working Group Applicants Only What is your primary area of interest related to the working group mandate? Golf Naturalization Pickleball Rugby Walking/Hiking Other: Please add separate pages if more space is required. A resume can also be attached. te: Applicants may be requested to attend an interview with the minations Advisory Committee if additional information is required. The minations Advisory Committee will consider all applications received and submit recommendations to City Council for final approval. The minations Advisory Committee will make recommendations to Council and reserves the right to check references and verify information contained on these forms. Please be aware that the application process is not complete until a resolution is passed at an official meeting of City Council. We thank all of those who apply; however, only successful applicants will be contacted once City Council makes its decision. City Council meeting dates and agendas are available online at The minations Advisory Committee will make recommendations to Council and reserves the right to check references and verify information contained on these forms. Committee Appointment Application City of Kingston Page 4

5 tice of Collection and Signature Personal information, as defined in the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA), is collected under the authority of the Municipal Act, 2001, and in accordance with MFIPPA. Personal information collected on the application form will be used to assist in selecting appointees for the various civic bodies and may form part of the publicly available meeting agendas and minutes. If appointed to a civic body, your personal information may also be used by City staff to conduct committee and City business. Questions regarding the collection, use, and disclosure of this personal information may be directed to the Blair Johnson, Corporate Records and Information Officer, at extension 1316 or bjohnson@cityofkingston.ca. By checking in the above box I am attesting that the information provided in this application is true and correct. Date Signature of Applicant Pease mail your application to: City Clerk s Office 216 Ontario Street Kingston, Ontario K7L 2Z3 or Fax To: or to: djackson@cityofkingston.ca Committee Appointment Application City of Kingston Page 5